HomeMy WebLinkAboutMiscellaneous - 29 BRADFORD STREET 4/30/2018 (2)Date.//.. A ......
40RTN
0 TOWN OF NORTH ANDGIVER
PERMIT FOR GAS INSIZALLATION
This certifies that . . J� k !'� . �In . ��' . 1.11 .......
has permission for gas installation kc�.5 .....................
in the buildings of ... P(,X 4 P I r ................................
at fld� A .� ............ North Andover, Mass.
Fee. .....
Lic. No/ ........ ... X
INSPECQ0
Check# 12 &&V
a
271
M
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINd
(Print or Type)
N ANDOVER Mass. Date 10/19/
Building Location 29 BRADFORD ST
Owner Tel# 978-686-0866
2006 Permit # 57o� 1(d
Owner's Name BETTY POIRIER
.Type of Occupancy RESIDENTIAL
NewFv_1 RenovationF] ReplacementF] Plan Submitted: Ye[] No[]
FIXTURES
Installing Company Name Eastern Propane & Oil, Inc
Address 131 Water Street
Danvers, MA 01923
Business Telephone # 800-322-6628
Name of Licensed Plumber or Gas Fitter— :1—ovi'l
I
Check one:
[�C®rporation
F]Partnership
F]Firm/Co.
Certificate
INSURANCE COVERAGE:
have a liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
6/ No o
f you haver2ecked y2s, please indicate the type coverage by checking the appropriate box.
cu
Yes
ave
A liability insurance policy P, Other type of indemnity 0 Bond 1i
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner El Agent 11
I hereby certify that all of the details and information I have submitted (or entered) in above am)lication are true and aCri r tp t th - hp�t f
I q n p , M!
rriuwieuge ano mat aii piumDing worK ana installations performed under the permit issued for this application will be in compliance with all
City/Town
APPROVED (OFFICE USE ONLY)
State Gas Code and Chapter 142 of the General Laws.
Type of License:
-Plumber
Signature of LicenseTPlumber or Gas Fitter
-Gas fitter
-Master
License Number*6213
-Journeyman
MEN
Installing Company Name Eastern Propane & Oil, Inc
Address 131 Water Street
Danvers, MA 01923
Business Telephone # 800-322-6628
Name of Licensed Plumber or Gas Fitter— :1—ovi'l
I
Check one:
[�C®rporation
F]Partnership
F]Firm/Co.
Certificate
INSURANCE COVERAGE:
have a liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
6/ No o
f you haver2ecked y2s, please indicate the type coverage by checking the appropriate box.
cu
Yes
ave
A liability insurance policy P, Other type of indemnity 0 Bond 1i
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner El Agent 11
I hereby certify that all of the details and information I have submitted (or entered) in above am)lication are true and aCri r tp t th - hp�t f
I q n p , M!
rriuwieuge ano mat aii piumDing worK ana installations performed under the permit issued for this application will be in compliance with all
City/Town
APPROVED (OFFICE USE ONLY)
State Gas Code and Chapter 142 of the General Laws.
Type of License:
-Plumber
Signature of LicenseTPlumber or Gas Fitter
-Gas fitter
-Master
License Number*6213
-Journeyman
C'--
6045
Date .... 9.- 1 �P ... S.7.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
C6.
This certifies that ...... � I ........
.......... ..............................
has permission to perform .... C- Pu)W Arl
......................... .......................................
voiring in the building of .... Pao, 1. ..........................................................
A
at C.�..91 ... ............................ . North Andover, Mass.
Fee.. L
....... Lic. No.RNA ....... � .. . .... .... ....
ELECTRICALft'NSPECTOR
Check
0
Commonwealth of Massachusetts Official Use Only
ii Perm,/No"— ZIn,
Vepartment of Fire Services 0/.7
upancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [14.11/991 0,,veblank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perfortned in accordance with the Massachusetts E c"" Code 'M
ION
(PLEASE PRIWTflVflVK OR TYPEALL XFONIAT e
City or Town of: At OvE 0 h�lns
A&PA A14 -Y
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street& Number) Q,� &21d-rcloacl 's tgzeck
Owner or Tenant
Owner's Address
Telephone No.
Is this permit in conjunction with a building permit? Yes El No RJ (Check Appropriate Box)
Purpose of Building [�w ell,
t�_ Utility Authorization No.
Existing Service Amps Volts Overhead Und-rd No. of Meters
New Servic Amps Volts Overhead Undgrd No. of Meters
Number of Feeders and AmpacityJJ/;e-r, Z3 L IC4 7 (�It
Location and Nature of Proposed Electrical Work: V
1 Completion of the following table nrqy be uvived by the Inspector of Mres.
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above Ei In- E]
grnd. grnd.
No. ot Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
JNo. of Zones
No. of Switches
No. of Gas Burners
of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump �
Number
Tons
KW
No. of Self -Contained
Totals:
Detection/Alertinp_ Devices
No. of Dishwashers
Space/Area Heating K -W
Municip?l El Oth
Local El Connection er
No. of Dryers
Heating Appliances KW
Security Systems:
No. of - Devices or Equivalent
No. of Water KW
No. of No. of
Data Wiring:
Heaters
Sig, s Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP Z6,
Telecommunications Wiring:
Nn of Devices or Equ valent
OTHER:
Attach additional detail ifdesired, oras required by the Inspector ofiFires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such covagge is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURAN BOND El OTHER n (Specify:)
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with NJEC Rule 10, and upon completion.
I cedify , under thepains andpenalties ofperjury, that the information on this application is!rue andcolliplete.
Flibm NAME: me I LIC. NO.: 4,
1 - - - if
Licensee: - Signature / r .7 WLI/ LIC. NO.:
'42A y ; d 1'/ (F 447414 ..u2aw )M-tj
(0'applicable, enter "e.,cenipt - in the license nunibcr fine) Y Bus. Tel. No.� q71 -642 -.25-00
Address: Alt. Tel. No.:!2,7f-
OWNERIS INSURANCE WAIVE R.- I am aware that the Licensee does riot have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) 0 owner EJ owner's agent.
Owner/Agent
'E : S
Signature Telephone No.
M
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. A�� 1�/S_
Occupancy and Fee Checked
(Rev. 11/99] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC). 527 CNIR 12.00
(PLEA SE PRINT IN INK OR TYPE ALL IXFORM4 TION) Date:—? — �0 —
City or Town of: -ALA-A Mdovey To the Inspecto op -Wires
IA'Mt'�cn eftelow
By this application the undersigned gives notice of his or her intentio�_t_o perform th � to
Location (Street & Number)
Owner or Tenant 0 y Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes El No 56 (Check Appropriate Bo x)
Purpose of Buildingg._ _ aL) ellt �,4 Utility Authorization No.
Existing Service Amps Volts OverheadF] UndgardE] . No. of Meters
New Service Amps Volts Overhead Und-rd [:J No. of Meters
Number of Feeders and Ampacity 's 6"42 L f0t a /c, 7 oi�,
Location and Nature of Proposed Electrical Work: V I
I Cnmnletinn ofthf, frMnivina InhIp n-7 ho —ii—i h , el," �,f^ _rrv,
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above El In-
. . _grnd. grnd.
. ot Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
IN,. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alertina Devices
t,
No. of Waste Disposers
imber
Tons
I
KW
I
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW`
Local El Municippl
I Connection [I Other
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or Equivalent
No. of Water
Heaters KW
No. -of No. of
Signs Ballasts
—
Data Wiring:
of
No. Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detaff �fdesired, or as required bY the [nspector of;Vires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersi-aned certifies that such cov age is in force, and has exhibited proof of same to the pen -nit issuing office.
CHECK ONE: INSUR.A.31 7 BOND F] OTHER Fl (Specify:)
Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date�)
Work to Start: Inspections to be requested in accordance wl th NIEC Rule 10, and upon completion.
1 certify, under thepains andpenalties ofperjury, that the information on this application i�!rue and complete. A
FIRUNINAME: �'A me - LIC."NO.: yz
Licensee: - ZAVid /y/1 Signature LIC. NO.:
(1fapplicable, enter
Address: e-renipt " in the license number line.,) B u s. T e 1. N o. 71 �-fZ - _�16
Alt. Tel. No.:!27f- -.6-3s- J—)
ONVNER'S INSURANCE WAIVER: I am aware that the Licensee does riot have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (.check one) 0 owner E] owner's agent.
Owner/Agent
Sit,natur
e Telephone No. PERAHT FEE-: S
1� 0 it. � - / 2 /90';47
m
,.N, 2 18 2 6
0
Date ..... R. —. z -
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .. L ...............................................................................
has permission to perform
wiring in the building of ...........................................................
at J.: ..................... . North Andover, Mass.
..... .....
Lic. No. ........
Fee,,Z5 ............. .... il� ECfiic'AL INspEcrOR
08/16/99 14:35 35.00 PAID
WHITE: Applicant CANARY: BuildingDept. PINK: Treasurer
I -lie ko__t_7�lnionwealth of Massachuseffs
Department of Public Safety
Office Use Only
Permit .140. A�a
!I Occupanc�y & Fee checked
BOARD OF FIRE PREVENTION REGULAT1ONS S27 CMR 12:00 13/90 (Jeave blan
(leave blank)
PPLICATION FOR PERMIT TO PERFORM ELECTR1rA1 XA/(')Dv
All work to t- L_
e Pet rmed in accordance with tile �lat�achusetts Electrical Code. 527 CM11 12:00
(PLEASE PRIITr IN INK OR TYPE ALL INFORMATION) Date_7
City or Towu of To the I"
f
The undersignet-34 applies for a permit to per orm h electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this Permit in
conjunction with a building permit:
Yes 11.
No
Purpose of Buildin A_-J�"-
041,� P /X I
(Check Appropriate Box)
Existing Service
tility Authorization No ------------
New ce
........ Amps -------- �/VOlts
Overhead 0
Undgrd [] NO- of Meters
_2S!ML_
_Amps------- volts
Overhead 1-1
-----
UndgrdEJ NO-
-If Number of Feeders
and Ampacity
Of Meters
-------
Location and Nature Of Proposed Electric -al Work
No. of Lighting outlets
No. of Lighting Fixtures
No- of Receptacle Outlets
No�p Of Switch' Outiet's
No'.' of R'anges'
NO.' of Disposals
No. of Dishwashers
No. of Dryers
No. of Water Heaters
No. HYdro Kassage Tubs
OTHER:
e-- L) r),
No. of Hot Tubs
Swi-nning Pool Above In
No. Of Oil Burners
No- Of Gas Burners
No. of Air Cond. Total
tons
leat Total . Total
0 7f���
Space/Area Heat ing KW
Heating Devices KW
111111 �: _._
10, 0 0. 0
�!� Ballasts
110- of Motors Total HP
No. of Transformers Tof-a
------------ — KVA
Generators KVA
0. i
l�1,11 I I B � A .11 Ig
Batterr Units
FIRE ALARMS No. Of Zones
NO. Of Detection and
Initiating Devices
00- Of Sounding Devices
No. of Self Contained
Detection/Soundina Devices
Loca 1 0 Municipal Other
___________.Con.nectio_nE_J
Low voltage
I— I
INSU RAN cE COVERAGE, Pursuant to the requirements of Massachuaetts General Laws
I have a current Liability Insurance Policy including Completed Operations Covera . ge or
equivalent. YES0 NOD I hilve submitte(l valid proof of same its substantial
If YOu have checked YES, please indicate tile to this Office. YESD NO 0
INSURANCE U BOND LJ OTHER E] . type Of coverage by rhecking tile appropriate box.
E . stimated Value of Electr (Please Specify) Fx -pi-r -at —io n—D-a
Work to Start ical Work Szzez� t_eT
I ---------- Inspection Date Required: Rough Final
Sig * ned u6der' tile penalties Of perjury: ----------- -------------
FIRM NAM AMr.VTVA&11' A.
Licensee RICIARI) L- ';AMP-S0X-___.S1gnatu
AA
LIC. NO.___1212jr _
dress_j CENTRAL.STREET, ARLINGTON MA 0247 Bus. Tel No. IC. No.
- _j8.1 _641 _20DO_�
ee does not have the insurance coverage or its sub-
stantial equivalent as required by massacht Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licens
application walves this reqt, isetts General-E-1ws, ind t�at my signature on this permit
ilrement. Owner Agent (Please check one)
__7�_ig�nature of0-n`crr 'Agent �� Telephone No.
PERMIT FEE
Location'
No. Date !�4,zl;170�
AORT#1
TOWN OF NORTH ANDOVEP8
Ot
0
Certificate of Occupancy
$
L
Building/Frame Permit Fee
$
4�t,5 c)d
0
,V CHU
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
TOTAL
Building Inspector
.0
0
.9709
Div. Public Works
P191blIT NO. I �S�/
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP +40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
cz
PURPOSE OF BUILDING
OWNER'S NAME ee
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT*S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER*S NAME
Co
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES OOL REAR40
.31
GIRDERS
p
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER;AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
4 SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE "'. ra. 4f/ -/ (,4 0
SIGNATURE 12M OWNER ON AUTHORIZED AGENT
F E E
PEICMIT,GRANTED
19
C HcW-0
e t ` 7 7� I
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST a4l
vv
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
DUILDING INSPISMa
OWNERTEL# 6
CONTR.TEL.#
CONTR. LIC. #a y3s 7s
19
H.I.C. #
" I
I OCCUPANCY
SINGLE FAMILY
Si 1 )e _1
MULTI.
�
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
CONCRETE
FINE
3,
2
CONCRETE BL K.
BRICK OR STONE
DW D
PIERS
LASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
B*M T AREA
FF
7, 77 V.
INN. ATTIC AREA
NO EMT
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
B
1
2
DROP SIDING
WOOD SHINGLES
CONCRETE
�ARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
HARDW D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK " NASO Y
BRICK 6KilWkjt!t,_
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
5 ROOF 11 10 PLUMBING
r,ARl F I I HIP Ii BATH 13 FIX.1 I
JRES
TILE DADO
iw_
6 FRAMING -11 11 HEATI
W'T'R
7 NO. OF ROOM
B'M'T I
3rd NO HEATING
BUlbo&G RECORD
i2
'&TA
\THIS SECTION MUST SHOW EXACT DImrLN I NS96k1*4hSN3 t& FROM
LOT LINES AND EXACT DIMENSIONS OF B QyITj).!!MCHES, GA-
RAGES. ETC. SUPERIMPOSED. THIS RI�PLACWPIIMAN.
c7ng�_
I
AP
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